Brian G Brazzo MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BRIAN G BRAZZO MD PC

Practice address

115 E 61St St
New York, NY 10065-8183

Phone

(212) 734-7788

NPI assigned

Jan 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Brazzo, MD

Title

Owner

Phone

(212) 734-7788

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Brian G Brazzo MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brian G. Brazzo MD P.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1104053263
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1780006312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658183",
            "telephone_number": "212-734-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN G BRAZZO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "BRAZZO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-7788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02107757",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina A Brezing, M.D.
• Courtney Elizabeth Briamonte, CPNP
• Brian a. Aslami, M.D., P.C.
• Brian Bassiri-Tehrani MD PLLC
• Brian D Golden MD PC
• Brian G. Brazzo MD P.C.
• Brian G. Meehan, M.D., P.C.
• Brian J. Schultz, D.P.M., P.C.
• Brian J. Schultz, D.P.M., PC
• Brian P. Quinn Podiatry P.C.

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.